外科术后患者的营养支持

目的研究外科术后患者肠内、外营养支持的治疗效果。方法55例外科术后患者肠内、外营养支持情况进行分析,其中肠内营养支持(enteral nutrition,EN)26例,肠外营养支持(parenteral nutrition,PN)29例,对血清清蛋白(Alb)、血红蛋白(Hb)、淋巴细胞总数(LYM)、三头肌皮褶厚度(TSF)、上臂肌围(MAMC)监测并进行治疗费用比较。结果①EN组与PN组营养支持后营养指标组间比较:EN支持组Alb、LYM与PN支持组相比有明显增高(P<0.05);Hb、TSF、MAMC两组相比差异无显著性(P>0.05)。②EN组、PN组患者营养支持前后自身营养指标的比较:两组Alb、Hb、LYM均有增高,且差异有显著性(P<0.05),TSF、MAMC差异无显著性(P>0.05)。EN组与PN组营养支持费用比较,同样供能1 265千卡,EN组比PN组节约费用约34.3%。结论外科术后患者,根据疾病情况,及早选择肠内营养,及时调整EN、PN比例,使营养支持治疗更加合理,有更好的治疗效果。

The nutrition support for Patient after the surgical operations

Objective To study EN and PN nutrition support for patients after surgical operations.Methods An analysis was made on nutrition supports of EN and PN in 55 patients after surgical operations,26 having EN support while 29 having PN support.Levels of serum Alb,Hb,total lymphocyte count,TSF and MAMC were monitored and analyzed with their cost.Results It was found that serum Alb,total lymphocyte count of the patients having EN nutrition support group Increased more than those in patients having PN group,the difference being significant,P<0.05,No significance was found in Hb,TSF and MAMC between two groups.Patients serum Alb,Hb,and total lymphocyte count rose remarkably in both two groups(P<0.05),as compared to the data before operations,but no remarkable difference found on TSF and MAMC in both two groups(P>0.05).Conclusion According to the disease situation,in general,patients after surgical operations should choose EN support promptly,then adjust the proportion between EN and PN reasonably in order to to have a better results and less cost.